| NPI | 1316148125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA GONZALES Director 619-881-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1062703) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-01-24 |